Individual
NANNETTE MCDANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1725 PINE ST, MONTGOMERY, AL 36106-1109
(334) 293-8057
(334) 293-6756
Mailing address
1830 COUNTY ROAD 107, PRATTVILLE, AL 36066-6747
(334) 391-4451
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1-094561
AL
363LA2200X
Adult Health Nurse Practitioner
1-094561
AL
363LG0600X
Gerontology Nurse Practitioner
1-094561
AL
Other
Enumeration date
08/19/2014
Last updated
08/19/2014
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